HENDRA YOSIA SITOMPUL

DANVILLE, KY
NPI1780191031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3011997)
Enumeration Date2018-01-09
Last Update Date2022-05-20
Business Address
HENDRA YOSIA SITOMPUL CRNA
210 W MAIN ST FL 2
DANVILLE, KY 40422-1812
Phone number: 859-236-3726
Mailing Address
HENDRA YOSIA SITOMPUL CRNA
PO BOX 27766
BELFAST, ME 04915-2029
Phone number: 888-488-8289
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